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CITY OF EVERETT <br /> Application and Gas inatallation Permit , <br /> All �York to be Done in Accordance.�tFi' ' <br /> Gity Ordinance - <br /> r_- _ - l ' , , . <br /> Everett, Washington....::.:���,,;,�„�,�.,,,,,,, _ �g�` ; <br /> Location ... 7 ��..� �`L�y <br /> __ _ t.`-�� � ........ <br /> ?"_ <br /> Owner .... . _ . ... .....� <�t�iv¢-t.�-�. I <br /> � , t <br /> �.d <br /> ...... <br /> ,,,.� � 1-j..ls"_"' "��.�""�r��......"""'....... <br /> Applicant .� _.., :::::: <br /> Rough piping inspection �___ <br /> Pipe in �ccess bf (�0'.T� _ _ Gas Staves i <br /> Gas refrigerafors _ _ _ _ ;�s water heaters J <br /> Gas s�ace heaters ro 70,000 B.T.U. input /� i <br /> Gas �space heaters over 70,000 B.T.U. input ____ <br /> �,as furnac�f, to 400,000 D.T.U. input _ <br /> Gas furnaces over 400,ODO.,BIT�U, input ._____ <br /> Conversion units to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input — _ <br /> Smalj applianws .�_,,, <br /> , , _�..-- <br /> �..\____� -- <br /> � ' <br /> _- -__ . . ,.Fv. »___�...�.�� . <br /> 1� '��� <br /> Call Backiln,spection ___,_,__ Fee Paid <br /> . $—�..'.. <br /> t ,,._r_---- ----�---��.�..�._..�_A9plicant <br /> BYr ;rr_"-----���f�...6_.�-.�_'�7�.�� <br /> . <br /> p15Hs'approved and Permit gKafiYed•As rcquesfed]ieiein; <br /> �-. <br /> -- —="''��'� —Inspector <br /> QY — --- --- �`� <br /> PERMIT *�T� � ,,,�., <br />�i <br /> k <br /> 4 <br />